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Individual

MR. CHRISTOPHER BRANDON DEEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1441 FLORIDA AVE, MODESTO, CA 95350-4405
(209) 576-3613
Mailing address
2200 STANDIFORD AVE, APT. 257, MODESTO, CA 95350-6539
(501) 230-0629

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary

Other

Enumeration date
08/28/2009
Last updated
08/28/2009
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